d-Carnitine also increased the anaerobic production of lactic acid and d-citramalic acid from pyruvate, but was associated with reductions in the concentrations of five essential amino acids in tilapia (Leu, Val, Met, Trp and Phe) and higher concentrations of His and (+)-threo-2-amino-3,4-dihydroxybutanoic acid
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Diabetes Metab Res Rev (2016) 32:77690
Proteomics 9 (6), 16721682
Type 2 diabetes mellitus and heart failure: a scientific statement from the American heart association and the heart failure society of America: this statement does not represent an update of the 2017 ACC/AHA/HFSA heart failure guideline update